| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,626 | $13,535 | 175% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $45,248 | $8,272 | 547% | — | 13 |
| Basic metabolic panelCPT 80048 | $139 | $8 | 1642% | ~$26 | 28 |
| COPD with MCCMS-DRG 190 | $12,353 | $8,590 | 144% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $7,106 | $364 | 1951% | ~$2,108 | 27 |
| CT head without contrastCPT 70450 | $3,352 | $109 | 3070% | ~$994 | 27 |
| CT pelvis with contrastCPT 72193 | $3,575 | $183 | 1952% | ~$1,061 | 27 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $17,716 | $3,708 | 478% | — | 15 |
| Cardiac stress testCPT 93017 | $2,231 | $225 | 989% | $540 | 28 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $123,055 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $5,944 | $2,410 | 247% | — | 21 |
| Cellulitis, no MCCMS-DRG 603 | $21,368 | $6,164 | 347% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,238 | $16,343 | 271% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $20,852 | — | — | — | 22 |
| Cesarean section, with CCMS-DRG 787 | $21,432 | — | — | — | 22 |
| Chest painMS-DRG 313 | $15,935 | $5,462 | 292% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $4,121 | $1,250 | 330% | — | 21 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,121 | $1,250 | 330% | — | 21 |
| Colonoscopy with polyp removalCPT 45385 | $4,121 | $1,250 | 330% | — | 21 |
| Colonoscopy, diagnosticCPT 45378 | $3,689 | $971 | 380% | — | 21 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 124% | — | 8 |
| Complete blood count, automatedCPT 85027 | $172 | $6 | 2660% | ~$55 | 30 |
| Comprehensive metabolic panelCPT 80053 | $423 | $11 | 4010% | ~$136 | 30 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $106,372 | $29,950 | 355% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $409 | — | — | ~$81 | 23 |
| Diagnostic mammography, one breastCPT 77065 | $376 | — | — | ~$74 | 23 |
| ED visit, level 3CPT 99283 | $2,479 | $285 | 870% | $479 | 37 |
| ED visit, level 4CPT 99284 | $3,668 | $436 | 842% | $725 | 37 |
| ED visit, level 5CPT 99285 | $4,622 | $622 | 743% | $827 | 37 |
| Echocardiogram, completeCPT 93306 | $1,533 | $571 | 269% | $328 | 27 |
| Electrocardiogram with interpretationCPT 93000 | $189 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,121 | $924 | 446% | — | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $22,490 | $5,941 | 379% | — | 17 |
| Excision of breast lesionCPT 19120 | $11,473 | $4,089 | 281% | — | 26 |
| Family psychotherapy, with patientCPT 90847 | $165 | $185 | 89% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $163 | $185 | 88% | — | 3 |
| Group psychotherapyCPT 90853 | $123 | $106 | 116% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $24,564 | $5,927 | 414% | — | 10 |
| Heart failure with MCCMS-DRG 291 | $26,285 | $11,004 | 239% | — | 10 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,786 | $13,876 | 308% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $35,599 | $10,098 | 353% | — | 19 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,594 | $3,739 | 310% | — | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $21,368 | $6,331 | 338% | — | 17 |
| Kidney function panelCPT 80069 | $212 | $9 | 2446% | ~$63 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $12,100 | $3,417 | 354% | — | 26 |
| Laparoscopic cholecystectomyCPT 47562 | $18,266 | $6,313 | 289% | — | 25 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,256 | $8,977 | 237% | — | 19 |
| Laparoscopic radical prostatectomyCPT 55866 | $20,498 | $11,101 | 185% | — | 21 |
| Left heart catheterization, diagnosticCPT 93452 | $12,011 | $3,385 | 355% | — | 19 |
| Lipid panelCPT 80061 | $439 | $13 | 3278% | ~$130 | 29 |
| Liver function panelCPT 80076 | $259 | $8 | 3169% | ~$77 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $4,121 | $737 | 559% | — | 21 |
| MRI brain with and without contrastCPT 70553 | $3,545 | $364 | 973% | ~$787 | 27 |
| MRI lower extremity joint (knee)CPT 73721 | $3,239 | $249 | 1300% | ~$641 | 27 |
| MRI lumbar spine without contrastCPT 72148 | $3,239 | $249 | 1300% | ~$641 | 27 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $43,299 | $13,045 | 332% | — | 19 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $51,831 | $22,346 | 232% | — | 19 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $44,987 | $16,202 | 278% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $12,353 | $7,608 | 162% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $9,042 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $9,042 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $9,042 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,698 | $109 | 1555% | ~$336 | 23 |
| Obstetric blood test panelCPT 80055 | $59 | $48 | 124% | — | 8 |
| Office consultation, comprehensiveCPT 99244 | $191 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $221 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $93 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $128 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $163 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $201 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $201 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $124 | $18 | 677% | ~$23 | 28 |
| Partial thromboplastin timeCPT 85730 | $147 | $6 | 2453% | ~$44 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $135 | — | — | $39 | 30 |
| Prostate biopsyCPT 55700 | $4,430 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $60 | $4 | 1409% | ~$11 | 28 |
| Psychotherapy, 30 minutesCPT 90832 | $142 | $185 | 77% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $154 | $185 | 83% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $176 | $185 | 95% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $21,368 | $6,927 | 308% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $234 | — | — | ~$49 | 24 |
| Sepsis with MCCMS-DRG 871 | $32,627 | $16,831 | 194% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,010 | — | — | — | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $21,368 | $6,455 | 331% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $2,784 | $897 | 310% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $30,306 | $3,679 | 824% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $30,306 | $7,684 | 394% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $431 | $17 | 2565% | ~$128 | 29 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $17,625 | $6,182 | 285% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,285 | $924 | 356% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $1,354 | $109 | 1241% | ~$323 | 25 |
| Ultrasound, transvaginalCPT 76830 | $380 | $109 | 348% | ~$68 | 24 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,689 | $947 | 389% | — | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,689 | $947 | 389% | — | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $247 | $3 | 7789% | ~$73 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $199 | $2 | 8843% | ~$59 | 28 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 123% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $13 | $3 | 372% | ~$2 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,800 | — | — | — | 22 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,979 | — | — | — | 22 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,508 | $109 | 1381% | ~$349 | 24 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,220 | $574 | 561% | — | 21 |